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S89.90XA vs S99

S89.90XA (Unspecified injury of unspecified lower leg, initial encounter) compared with S99 (Other and unspecified injuries of ankle and foot), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S89.90XA carries an Excludes2 note covering S99: “other and unspecified injuries of ankle and foot (S99.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. S89.90XA carries an Excludes2 note covering S99: “injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S89.90XAUnspecified injury of unspecified lower leg, initial encounterS99Other and unspecified injuries of ankle and foot
Billing statusBillableNon-billable header

Report instead: S99.001A, S99.001B, S99.001D, S99.001G, S99.001K

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionUnspecified injury of unspecified lower leg, initial encounter is a billable ICD-10-CM diagnosis code (S89.90A).Other and unspecified injuries of ankle and foot is a non-billable ICD-10-CM category code (S99).
7th characterThe appropriate 7th character is to be added to each code in subcategory S89.9

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources